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Purpose: To present of an appropriate diet consists in cancer patients undergoing chemotherapy. Materials and methods: A search was made in the Pubmed and Scopus databases for reports on nutrition and chemotherapy in cancer patients. There were used the following key words: nutrition, cancer, chemotherapy and the combination of them. Results: Nutritional problems of patients are caused by the same disease, the antitumor therapy and the patient's response to the diagnosis and treatment. Symptoms such as anorexia, changes in taste, nausea - vomiting, diarrhea, stomatitis and constipation are common side effects of chemotherapy and can lead to inadequate food intake and consequently, malnutrition. There are many appropriate nursing interventions that alleviate the above symptoms. Conclusions: Nurse plays an important role in the care of patients who have been feeding problems receiving chemotherapy. Nutritional interventions are individualized and should be started immediately and incorporated into the care plan in order to be successful. In order this to be achieved; all patients should be assessed for nutritional problems and weight loss before starting treatment and after starting regularly.
EN
Introduction: The primary health care services holding the central role in the prevention of various diseases. Cancer is the second leading cause of death worldwide. Primary healthcare services, holding a coordinating role in staging, treatment and prognosis of cancer. Purpose: To present the role of primary health care services in primary and secondary prevention of cancer. Materials and methods: A search was made in the PubMed and Scopus databases for reports on primary health care services in cancer patients. Results: Monitoring and early detection are some roles of care. The preventive medicine focuses on health promotion and disease prevention, helping people to enhance their own health. Specifically, majority of researches revealed that mammography ranged 44% to 69%. Also, the screening of cervical cancer by early examination of Pap smear, the percentage ranged 24% to 36%. The screening of prostate specific antigen (PSA) test ranged about 55%. The health professionalsfocused on individual, group and community interventions aimed at health promotion and prevention through programs and counseling. Conclusions: The interest of the fact that the primary care services have multidimensional roles for eliminating the occurrence of cancer. Prevention and health promotion programs, informing the population, campaigns on the part of health professionals for more frequent screening and early diagnosis in general symptoms of cancer, are fundamental principles of these services.
EN
Introduction: Childhood obesity is a modern epidemic situation and is the most frequent eating disorder. The importance of childhood obesity has driven many researchers to investigate and study its etiology, consequences, and interventions for managing it. Purpose: To review the factors which contribute to the development of childhood obesity, its consequences, and the interventions for managing the problem. Results: It follows from the review that childhood obesity is associated with the presence of genetic, behavioral, and environmental factors, while its consequences are connected with cardiovascular, gastrointestinal, and respiratory diseases. Certain psychosocial and endocrine disorders are also observed. Management of the problem can be achieved with targeted interventions in the context of the family, school and community environment. Conclusions: Childhood obesity is directly connected with the adoption of a sedentary lifestyle, a change in healthy eating habits, and reduced physical activity. Apart from the serious risks it causes to children, this problem considerably affects the cost of healthcare and social security systems.
EN
Introduction: The clinical examiner's communication with the patient is essential for successful relationship. It covers all forms of the doctor-patient relationship, and its quality affects the outcome of the disease. Purpose:The discussion and critical evaluation of the communication’s importance in therapeutic practice through a critical review of the existing literature. Material and Methods: A literature search was performed in Medline, Pubmed, Cinahl, Google Scholar databases and the Greek database Iatrotek, conducted during the period 1988 – 2012, with keywords relevant to the subject of this review. Results: The communication between medical and nursing staff and patient must follow certain rules. As the time spent by the physician in the examination and updating of the patient increases, so does the satisfaction of the second, it is appropriate to develop policies aimed at detailed information on the progress of the disease and its treatment. Furthermore, it is worth mentioning the physician’s comfort when he is dealing with giving news, especially bad news and the maintenance of patient’s hope during making decisions for his health and his life. The mistakes during the communication between the examiners and the patients are usually out of ignorance or negligence not only by early-stage investigators, but also poorly trained examiners older, and neglect systematically during the physical examination of patients. Conclusion: There is a growing need for informed patient and involved in the therapeutic process, so there is a great need for the therapist have communication skills.
EN
Purpose: To assess nurses’ perceptions about the transformational leadership applied in psychiatric hospitals and to investigate factors that influence these perceptions. Materials and methods: A descriptive study was conducted in a psychiatric hospital and a psychiatric ward of a general hospital located in a city of Cyprus. A convenience sample of 95 nurses was used, while the Greek version of the « Kuopio University Hospital Transformational Leadership Scale (KUHTLS) questionnaire was used as an instrument. Results: Appreciation, decision making fairness, and individuality were the variables with the highest mean values. Women had significantly higher scores in appreciation, justice, and individuality compared to men. Nurses who were >45 years old had a significantly higher score compared to those who were 31-45 and <30 years old in the subscales decision making (p=0.005), appreciation (p=0.043), development (p=0.020), work efficiency and outcomes (p=0.030). Head and senior nurses had significantly higher scores regarding subscales decision making (p=0.003), appreciation (p=0.025), development (p=0.010), work efficiency and outcomes (p=0.004). Nurses with > 7 years of work experience, had significantly higher scores in fairness subscale compared with the nurses who had less than seven years of work experience (p=0.034). Conclusions: Nurses working in those psychiatric hospitals and ward had positive perceptions about transformational nursing leadership. Hospital administrators should facilitate training programs for nurse managers in leadership styles and their effects on job satisfaction.
EN
Background: Lung cancer is one of the most common malignant diseases with high mortality. Patients diagnosed with lung cancer are most likely to exhibited psychiatric symptomatology while they experience poor quality of life. Purpose: To examine the relationship between psychological distress and quality of life (QoL) in lung cancer patients receiving chemotherapy. Methods: A cross sectional study was conducted in which 110 lung cancer patients were recruited to participate. Data was collected with an anonymous self-administrated question-naire consisted by three parts: a sheet concerning demographic information, the scales Missoula Vitas Quality of Life Index-15 and General Health Questionnaires (GHQ)-28. Results: Women accounted for 51.8% of the sample, 27.3% were ≥56 years old and 24.5% were in the age between 35-44. Moreover, 38.2% were high school graduates while 46.4% were married. Age, educational level, and marital status were found to be related to patients’ perceived QoL. QoL was found to be related to psychological variables for GHQ-28. Conclusions: Quality of life can be considered to be a result of disease and treatment, as perceived by the patient and is affected by factors such as injury, anxiety, perceptions and social opportunities. This has a direct effect on patients’ functioning and ability to self-care.
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